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<br /> ������J ��� ,_J r`, . _ \_� _r /_ . ,,
<br />� .. . .. _______._ _____�_____.________ _ __ _ _______.__ _
<br /> _ _________ _ __.__ ______
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<br /> DEATH GERT i FI C11TE 7 �'
<br /> THI� T�� CERTIFY,ti�at tile f�ll�?�ri�f� is a t�ue �,.d co_rect copyT cf a ��rtiiicate of deat�,
<br /> filed i�_ tii� .�ffice of tize Division of Vit�.l St�tie �ic� ,Souta Dakota State Board of Nealth, ,
<br /> as airec�ed ��,y Cnapt�r q2 ,8,�eci?1 �ession L-.i•:s of Sou�n. D�,kota ,June ,l'�20.
<br /> ti FL��E_ Or �EAT:-i P.�.Jenkins
<br /> Directors of Vital �tatistics
<br /> County R�berts
<br /> ' CSE<1L� r3� Edna Jenkir.s '
<br /> � �� Totir�saiip Alto � Deputy �
<br /> 5ou�iz Dakota
<br /> UTATL+' B^ARD OF riLALTH
<br /> �
<br /> DIVI�I�_? ^T VIT�L STATi�TIC:3 '
<br /> �'�:'x�TI�ICAT=: �F D'�ATH
<br /> � .
<br /> : No. in Re�iStration Book 2956
<br /> rull narne ��'Vl,eJr Br�iTlllo La.r�e
<br /> ,
<br /> � Pu�S"i,AL A„'D STAT�aTICl�L ���:=�T��L'LARff3 r i ::�:.DIC�'�L C�:3TIFIv!�TE OF DEATH
<br /> �! 3 Sex �- Cal�r or ?:z,ce � S_n�;1e .::arriPd �"didcti�erec 1 D�.ted of ea�th April 1 1�25
<br /> l.fale ��nite ox Divorced f '„'rite t..e ti:�nrd Ttloni,h Da Yea.r
<br /> . )
<br /> Y '
<br /> "�di�z��.,rer 17 I nere"by cer�Lify ,Ti�at I a�tended de�
<br /> ; SaIi' ._�z�ie� ;:�i ?_ot�leat,or �ivorced ce�sed fro:;l :Zov.l 1°2�- to Feb 15 ,19�5
<br /> Hus�;���d o� (or) ti;i�'e of :�anc� L�.r�e tnat I last saw hi�n alive o� Feb 15 �
<br /> 192� and t:nat death oc�urred o� the ',
<br /> o Da.tea f Bi:c��i �oiith ,day ,a.nd yea.r ;0- ct�1;;2 c�a�e stat°d �bove ,at 1: 20 o � clock Pk�A.
<br /> � a.r�e ,� e.^:.rs .a�rti�s Jay s If les� thzn 1 day Tn.e cause of deat� ti�a� �s follotivs; ''
<br /> y� 5 � hrs ;or rnin. He�rt Failtitre.
<br /> Oc�,a���ion �:�f Deeeased Retired Contributory Gen.SVeakness
<br /> Bi� �°�:p?.�,ce cit�� oy to�a�n i 1� ( S�condary)
<br /> State or coa:�ty) Tenn. __ _ Did an operation precede death� No. '; �
<br /> 1� �1�.:ie' of F�t:��r IFr.Larrre � �'Pas t:zere �r_ �uto;�syz,Ido. ' �
<br /> 11 p_�t �c�l��,,e o�'��.tizer�cit;; or t,��.;n � YP'na� test co�.z� lr::_ed diagnosis',N��ne
<br /> ( state or cou��ty) Don�t kn�T�v��. ( Si,�ned) A. P.H�.v�kins ,:�i.D.
<br /> ' 12 l�,�ai�:ien ila>le of •rnotiier Dc�n� t kno�v-�. � t1--1 1925 (Address( b'�a.ubay..S.D.
<br /> 13 BYr��p1,-.ce of�mat:ner city- o� toi�i�Z �� �� l�Plaoe of Burial ,C�emation ,or Rernova.
<br /> ( St2t� oi county) Don�t k�z�cr. L�lce�ietiv ,
<br /> 1 ��:['�� lant H-�rri�t Godf'rey - �_� Date o:�: Bur:ial �4--� 1925
<br /> . (A�'ress� ureiZVille S.D. _i�.
<br /> 3.5 Fi1ed A�r. b 1�2�, R�y L.V-rei:�1 2 Undertaker Address
<br /> Cl.e1°�� of Courts. D.H. E�i el:iart �Ya•�ba S.D.
<br /> ------_� _ .._
<br /> F3uria,l Permit isbued. � 1 25
<br /> II ,
<br /> D.P.Hezin�t�n Ju�tice of Peac�
<br /> Filed for record this 3 day o� April ly2o ,at ?_:3� o' clock P.�1. �'
<br /> , ��,�� �t_�_�-�
<br /> I,
<br /> ! � � "'
<br /> egister of ,_�eds
<br /> -0-�-0-0-J-�-0-�-0--0-J-0-��-0-�-0-��-�-��-0-�-0-'�-0-u-0-0-:;-0-0-U-0-0-�-��-0-0-0-0-0-'�-�-0-0-0-0-w�-�-
<br />�
<br /> ORDER
<br />' ' Ii� TH� DI'STRICT COL'RT 0�' TI-�: U:'ITED STATE�
<br />� � �
<br /> rOR Ti:� DISTRICT �F T1EBZ�.�SKA ;.
<br /> GRAiti17 ISLA�,TD DIVISION.
<br /> �,.
<br /> I'�? T�-i}�' ��ATTER OF )
<br /> '.�
<br /> . �
<br /> CAi�EY & fi1I�Tr.�LD,Ai�i)
<br /> ' Iid BA,dKRUPTCY.NO. �lj -
<br /> � H1�RRY A CAREY,AI�TD �
<br /> ,
<br /> ' WILLIA%:. D.NIETFELD ,
<br /> ��� BA�,Kri�,rPTS..: � '`
<br /> �
<br /> Up«n reading tiie ap��lic.:�tion o� tne 'rrustee for a:ut�:ority to �.:1rtJe;� zll ri�hts by hi�n held'i
<br /> �.
<br /> in L�� � ��ven ( 7) in Blx� 'Lleven (1T) in Ker:zohan & �ecicer� s Addition to Grand Island ,and
<br /> Lot �even �( 7) in Bloc�s Tiiree (j) of Spa.uldi:�g & Gre��' s Addition to the City of Grand Islaa�d,
<br /> ; Nebr�ska.,�o Tne Atebra,ska, State }3��1�� of �*rand Isla,nd,Nebr�ska,and the Referee upon investiga-
<br />_ _.� ' � � � � � ji
<br /> tion ��inds ti�at tize state_ne�lts o�' fact ir, said �pi,�lication �re true and tnat said application'�';
<br /> should be �.11oti°red.
<br /> IT IS ,TH'�::�F�RL+' ,QRDERED ti�^,t t�e Trustee convey saia pre�aises to said Nebra.ska State Bank, �
<br /> ', all ri;�ht ,ti'c].e and interest ?--�zic�z he �;YZay have �he�ein ,for and in consideration o� t�epre_aise�
<br /> set out in sa.id petition.
<br /> � ��
<br /> Doize at Gra.��.d 1 slz�nd;tiii s 2}ra d�:y of �'larch ,1;26. ;
<br /> ___ __Artizua� C.P�aver "
<br /> - ----��----— �-. -- - _ — ------- ---
<br /> _ __----
<br /> Filed for record t:.is � d�y of A��ril 1��� ,at � o ' clocr P.I.1. Referee ' .��cy�
<br /> �
<br /> ,
<br /> ; ,, . Le�i ster of eeds �
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